Provider Demographics
NPI:1730249483
Name:ECTOR, RAMON L (DPT)
Entity type:Individual
Prefix:
First Name:RAMON
Middle Name:L
Last Name:ECTOR
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6853 DOUGLAS BLVD STE B
Mailing Address - Street 2:
Mailing Address - City:DOUGLASVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30135-7178
Mailing Address - Country:US
Mailing Address - Phone:337-378-3740
Mailing Address - Fax:
Practice Address - Street 1:6853 DOUGLAS BLVD STE B
Practice Address - Street 2:
Practice Address - City:DOUGLASVILLE
Practice Address - State:GA
Practice Address - Zip Code:30135-7178
Practice Address - Country:US
Practice Address - Phone:337-378-3740
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-11
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist